 This study assessed the incidence of key obstetrics outcomes, pre-term delivery, caesarean sections, and home births, and length of hospital stay during the COVID-19 pandemic as compared to the six months prior in a retrospective cohort study of women aged 18 to 44 years who delivered between October 2019 and September 2020. The results showed a decrease in pre-term delivery rates, an increase in home birth rates, and a decrease in average hospital length of stay post-delivery in the pandemic cohort compared to the pre-pandemic cohort. There were no overall changes in caesarean section rates but differences were observed between age, race, and ethnicity subgroups. The study highlights the importance of digital data collection during the COVID-19 pandemic for continuous monitoring of maternal health trends. This article was authored by Katie Nodden, Danny Bradley, and Adam Wolfberg.